Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1964-05-23
- Stop
- 1964-05-23
The parties
- Patient
- patient Allene Jonell Stark
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
39bdbcaa-0f4c-539e-4a2d-726415f922ed